ESA & Service Dog Blog — Expert Articles & Guides

Expert insights, guides, and news about Emotional Support Animals and Psychiatric Service Dogs across the United States.

Psychiatric Service Dog Letters & Evaluation | ASA

Understand the limited role of a psychiatric service dog letter, how an individual clinical evaluation works, and why training and airline forms remain separate.

ASA Editorial Team Nov 07, 2026

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ESA & Service Dog Blog — Expert Articles & Guides

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Psychiatric Service Dog Letters & Evaluation | ASA

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Continue to Mental Health Screening

Depression Screening (PHQ-9)

1Little interest or pleasure in doing things

2Feeling down, depressed, or hopeless

3Trouble falling or staying asleep, or sleeping too much

4Feeling tired or having little energy

5Poor appetite or overeating

6Feeling bad about yourself or that you are a failure or have let yourself or your family down

7Trouble concentrating on things, such as reading the newspaper or watching television

8Moving or speaking so slowly that other people could have noticed. Or the opposite being so fidgety or restless that you have been moving around a lot more than usual

9Thoughts that you would be better off dead, or of hurting yourself

Continue to Anxiety Screening

Anxiety Screening (GAD-7)

1Feeling nervous, anxious, or on edge

2Not being able to stop or control worrying

3Worrying too much about different things

4Trouble relaxing

5Being so restless that it is hard to sit still

6Becoming easily annoyed or irritable

7Feeling afraid, as if something awful might happen

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Psychiatric Service Dog Letters & Evaluation | ASA

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